Faith Regional Health Services


About the Facility

CMS Certification Number (CCN)
28T125
Ownership Type
Non-profit
CMS Region
Kansas City
Certification Date
Address
2700 W Norfolk Avenue
Phone Number
(402) 644-7184

Facility Medical Condition Statistics

All other conditions
27
Brain disease or condition (non-traumatic)
Data not available for this reporting period.
Brain injury (traumatic)
Data not available for this reporting period.
Hip or femur fracture
17
Hip or knee replacement, amputation or other bone or joint condition
28
Nervous system disorder (excluding stroke)
Data not available for this reporting period.
Spinal cord disease or condition (non-traumatic)
-
Spinal cord injury (traumatic)
-
Stroke
18

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
Not Available
SIR 95% confidence interval - upper limit
Not Available
Comparative performance category
Not Available
Catheter days
68
Predicted number of infections (B)
0.118
Number of infections reported (A)
1
SIR (A/B)
Not Available
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
99
Denominator
99
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
12.2
Denominator
85
Average observed change score
12.5
Change in patients ability to move around
Average risk-adjusted change score
29.1
Denominator
85
Average observed change score
30.8
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
57
Denominator
85
Facility rate
67.1
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
54
Denominator
85
Facility rate
63.5
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
99
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
Not Available
SIR 95% confidence interval - upper limit
Not Available
Comparative performance category
Not Available
Patient days
1,745
Predicted number of infections (B)
0.495
Number of infections reported (A)
1
SIR (A/B)
Not Available
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
971
Number of health care workers
1,017
Rate of flu vaccination
95.5
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
7
Number of eligible stays
154
Unadjusted potentially preventable readmission rate
4.55
Risk-standardized potentially preventable readmission rate (RSRR)
8.20
Lower limit of the 95% confidence interval on the RSRR
6.20
Upper limit of the 95% confidence interval on the RSRR
10.64
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
6
Number of eligible stays
163
Unadjusted potentially preventable readmission rate
3.68
Risk-standardized potentially preventable readmission rate (RSRR)
5.20
Lower limit of the 95% confidence interval on the RSRR
3.39
Upper limit of the 95% confidence interval on the RSRR
6.97
Comparative performance category
No Different than the National Rate
Rate of successful return to home or community from an IRF
Observed number of discharges to community (DTC)
98
Number of eligible stays
136
Observed discharge to community rate
72.06
Risk-standardized discharge to community rate
64.42
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
59.22
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
69.34
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.95
Number of eligible episodes
171
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
99
Denominator
99
Facility rate
100.0
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
0
Denominator
99
Facility observed rate
0.0
Facility risk-adjusted rate
0.0
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
726
Number of health care workers
816
Rate of COVID-19 vaccination
89.0